Attachments
This Revised Emergency Appeal reflects a plan for the Federation-wide consolidated response from the International Federation and its member Red Cross and Red Crescent National Societies to support the efforts of the South Sudan Red Cross (SSRC) in areas of South Sudan that have not been directly affected by the conflict
The total budget for this emergency appeal has been increased from CHF 4,702,572 to CHF 6,758,366 following continuous assessments of needs. This budget adjustment mainly reflects the need to respond to a cholera outbreak that has spread from Juba to other parts of the country and which, if not contained, could result in up to 45,000 cases of cholera (National Task Force, worst case scenario).
The revised appeal seeks to strengthen Movement coordination by reflecting all IFRC and Partner National Society support to the South Sudan Red Cross emergency response operation, whether through IFRC or directly to SSRC. As part of the overall appeal budget of CHF 6.7 million, IFRC is considering an operational budget of CHF 4,689,355 with the remaining amount constituting direct support to SSRC.
Details are available in the Emergency Plan of Action (EPoA)
The revised appeal is covered at 56%, with CHF 1,778,288 pledged towards the IFRC operational budget and CHF 1,995,377 in direct support to SSRC
Appeal history
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A DREF operation was launched on 9 January 2014 and CHF
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An Emergency Appeal was launched on 4 March for CHF 4,702,572 to assist 105,080 persons. Operations Updates n° 1 and 2 have subsequently been published to provide updates of the response operation in March and April respectively.
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This revised appeal seeks CHF 6,758,366 to assist 450,000 people with cholera response, provision of safe water and sanitation, health activities and distribution of non-food items and shelter.
Main updates in the revised appeal
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Added cholera response component through establishment of oral re-hydration points (ORP), strengthened health and hygiene promotion and the provision of safe drinking water to people living in cholera affected areas. A FACT and two Emergency Response Units (ERUs), a Community Health Module (CHM) and a module 40 WatSan ERU, have been deployed to support the cholera response.
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Additional preparations for a food security/nutrition response (detailed plan and budget will be provided in a later operations update)
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Strengthened security for both volunteers and staff, by adding a specific component on security capacity and procedures, including the upgrade of the SSRC radio rooms and the development of standard operating procedures for security.
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Strengthened data collection and management by recruiting a local staff and developing internal reporting and communication lines and procedures.
The disaster
The internal conflict that started in the capital city of Juba in South Sudan on 15 December rapidly spread to other parts of the country, with worst affected states being Jonglei, Unity and Upper Nile states. The conflict has resulted in casualties, wounded and missing among the affected population and has had an overall impact on the situation in the country, creating long term humanitarian consequences for the affected population. Hundreds of thousands of people have been displaced in most states of the country. The latest estimates indicate that over a million persons are displaced as a consequence of the conflict in South Sudan, with another 370,000 having fled to neighbouring countries (Uganda 110,000, Ethiopia 140,000, Sudan 85,000, Kenya 37,000). The largest single concentration of internally displaced people (IDPs) in South Sudan is in Awerial County in Lakes State, where tens of thousands of people have gathered after fleeing fighting in Jonglei. Despite a renewed agreement on the cessation of hostilities, signed on 9 May 2014, the situation remains tense and unpredictable, in particular in Jonglei, Unity, and Upper Nile states.
On 15 May, the Ministry of Health officially declared an outbreak of cholera in Juba. As of 8 July, a total of 3,231 cholera cases, including 70 deaths, were reported in South Sudan. A total of 135 new admissions were recorded, 129 of them in Torit and 6 in Juba. Across this outbreak, the case fatality rate (CFR) remains above 2 per cent, which is above the emergency threshold.
While cholera has declined in Juba County, it is concerning that is it now spreading to other counties. The outbreak is currently concentrated in Torit, Eastern Equitorial State, which accounts for most new cases. However cholera outbreaks or alerts have been reported in seven of the ten states. Based on the available Ministry of Health (MOH)/ World Health Organisation (WHO) data, there have been laboratory confirmed cholera cases in five of the 10 states; in Juba, Kajo Keji and Yei Counties in Central Equatorial State; Mundri East County in Western Equatorial State; Torit and Magwi Counties in Eastern Equatorial State; Bor in Jonglei State and Manyo in Upper Nile State. The risk of cholera cases spreading further outside Juba remains a worry, with limited response options given the poor access due to road conditions and security. In addition the rainy season, which started in April and runs through to October, brings increased malaria morbidity. The current worsening nutritional situation, especially with under five year olds could, combined with the cholera, have the potential to worsen the cholera situation, resulting in very high Crude Mortality Rates (CMRs) and Cholera Case Fatality Rates (CFRs).